HomeMy WebLinkAboutPermit Electrical 2001-02-26SPFINGFIELD
Job# 01-00161-01
RESIDENTIAL PERMIT
City Of Springfield
Community Services Division
Building Safety
Page I of 2
Job Number: 01-00161-01
Office:726-3759
lnspection Line: 726-3769
Tax Lot#: 11800
Subdivision:
€n
225 North Fifth Street
Springfield, OR97477
Location Of Proposed Site: 1324 parker Rd Spr
AssessorsMap#: 17032533
Lot: Block: Addition:
ctTY oF SPRINGFIELD, OREGOTV
Owner: Eddie Stianson
Address: 1140 TrailAve
Scope Of Work: Electrical Only
Service change & one circuit.
Phone Number:
City/State/Zip:
Alteration
541 -688-1 078
Eugene, OR 97404
Value: $O
Contractor Type
Electrical Contr
Contractor
New Way Electric lnc
Po Box 21503, Eugene, OR 97402-0409
Registration #
51 088
Expiration Date
6t27t2001
Phone
541-686-2365
Quad Area:
# Of Units:
Constr. Type:
Water Heater:
Office Use
-
Land Use:
Zoning Code:
Bedrooms:
Range:
# Of Buildings:
Occupancy Group
Heat Source:
Sq. Footage:
To request an inspection callthe 24hour recording a|726-3769. All inspections requested before 7:00
a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following
working day.
Required lnspections
Electrical
Rough Electrical
Electrical Service
Final Electrical
Construction Types
Occupancy Groups
# Of Buildings:
# Of Bedrooms:
Handicap Access?
Area (Sq.
Main:
-Prior to cover.
-Must be approved to obtain permanent power,
-When all electrical work is complete.
# Of Stories: Height (feet):
Current Units: Proposed Units
Census Code: Does not apply
Accessory:Total:
Job# 01-00161-01 Page 2 of 2
Fee Paid On Receipt# Value/Quantity Fee Amount
Electrical
Permanent: 200 Amps or Less
Branch Circuits With Feeder or Service
State Surcharge - Electrical
Administrative Fee - Electrical
Total Electrical
02t26t2001
0212612001
02t26t2001
0212612001
4547
4547
4547
4547
1
1
$s0.00
$2.00
$3.64
$1.56
$s7.20
Grand Total $57.20
Signature Date
SPRI IELO
7
Df,Tt: FEE ?fr ?001
AHI RECD:? $ 5?,M- CHANEE:
IAEHIE(: OO]
225 FIFTB STREET
SPRINGFIELD OREGON 974
INSPECf,ION REQITEST:. 72
DateOFFICE: 726-3759
Authorized Srgnatute
1.0
JOB DESCRIPTION
Pe rmi ts are non-trans f.erable and exPire
if vork is
of issuanc
180 daYs.
not started vithin 180 daYs
e or if vork is suspended for
2.COMRASTOR INSTALI.'ATION ONLY
Electri
Address
ca1 Contractor,
cit vnon"!j!!f8123b5
Super sor License Number
Expiration Date - 0/-a
Constr Contr' Number I
Expiration Date,-s
sing Electrician
Owners Name
Address
A. Nev Residential-Single or
uuiti-f"riIY Per dvelling unit'
Service Included:
SCffiDTIIJ BELOS
I tems
APPLICATION
Cos t
$ Bs.oo
$ 1s.00
$ 40.00
$ so.oo
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Sum
Ci tY
INSTALLATION
The installation is being made on
DroDerty i """-"t'i"t' i" iot intended
ior'saIL, Iease or rent'
I0u::jIIHXUI
: i5i"ifffiners Signature:iti'i'j ,$ i: riJlri l.i.lu
TOOT
l,t,Et
rl? CI./tr lJ
DATE:
1000 sq.ft. or less
nach additional 500
sq. ft or Portion
thereof
Each Manuf'd Home or
Modular Dvelling
Sertice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less i
2Ol- amPs to 400 amps
-
40i- amPs to 600 amps
-
601 amPs to 1000 SmPs-
over 1b00 amPs/volts
-
Reconnect 0n1Y
SUBTOTAL OF ABOVE
7% State Surcharge
:Z eaminlstrative Fee
TOTAL
TemoorarY Services or Feeders -i;;Uii;ii"rl aii"ration or Rerocation
Nev, Alteration or Extension Per Panel
One Circuit $ 35'00
Each Additional-!it;:::":'r:il1,'""t""/ $ 2'oo '4!o
Miscellaneous (Service/feeder not included)
_Each installation s 40.09
PumD or irrigatll*'"zo",i;;;'Li;hiins- $ 40'oo
Limited EnergYzil'es
-- $ 20'oo
B
5o.o o
-6 /200 amPs"or less $ 40'00
201 amPs to 400 amPs -
S 55'00
Over 401 to 600 aryP!^---------.. S 80'00
0ver 600 "*pl-ot-rbOO-'oTT=
see "8"
D. Branch Circuits
C.
E
a6o?e
vnonu)/5dl2L
5
CITY OF OREGON
RBCEIVED BY:
_co
L 7
I.AGAI DESCRIPTION
/7a3 2f 1." //fta-o
3)
'1.
l.'
I i:lr i .i ,
.l
l
!
:
TOIAL DUE
RECEIVED FROl'l:
l.lEt,li I{AY ELECTRIC
CHECl(:
TOTAL TII'IDTRFD
C|.iAl'lGE t}Ui ;;
*Pay , ame
*l'lai I AdCr
xCtyi/St r1
*Site Addi
:NEhl t4AY Ett0lRII
:P0 BOX 21503
: EU(]EiJT 0R 97402
:1324 PARI{ER SI
IHAHK YOI-,!t tt!l